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The 'No Restriction' Support Thread



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There aren't many of us - so far, I think it's me, Patticake and Mommashari who feel they have no restriction.

I also saw someone called Alice (I think) who said the same thing but now I cant find her :-(

If you're in the same boat, let's all stay in touch and see if we can share info that might help us to get the bottom of the problem.

Here's my very brief story; band removed and RNY done on 10/10/13.

No restirction, no dumping, no foods I can't tolerate (although I've gone off Breakfast cereal).

I had an x-ray last week to look at stoma and stomach size - all seems 'normal' and yet my dietician nearly fainted when I told him i could easily eat a whole sandwich for lunch.< /p>

No feedback from surgery team since the x-ray so i eamiled them today - no reply!

Starting to feel like I might have just wasted a lot of money.

L x

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I was a sleeve patient but I have zero restriction.

I had good restriction in the beginning and lost all of my weight by 6 months, ironically that was when I noticed a change in restriction....by 18 months the restriction all gone.

Needless to say nearly all my weight has been regained...I'm seeking a revision right now.

Xxx

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There has to be some reason why there are no restrictions.

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I cannot speak for the bypass but with the sleeve I really do believe that it's a combination of boughie size, the shape of the sleeve and the fundus.

My new surgeon is going to look via an upper GI on Monday 23rd to have a look...I'll post the outcome when I find out...the findings could shed some light.

I would like to say one thing though....I didn't regain all this weight just because I lost the restriction...I have hypothyroidism that has been problematic over the last 2 years and I didn't help the situation either...as soon as I realized any form of restriction had ceased I should pulled the reigns in...but I guess old habits and all that.

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The more I think about this, the more simple it gets.

Those of us who don't feel restriction have pouches that are just too big to make any (or very little) difference.

The pouch is guess work for the surgeon, unlike with the sleeve where they use a bougie and sew around it to create a fairly uniformed sleeve, depending on the size of the bougie used.

There are several articles out there that say the size of the new stomach is a major factor in the success or failure of bypass surgery.

Given this, and the fact that the first 6 months are the most important in weight loss surgery and the fact that the pouch will stretch over time (according to veterans on this site), I have a question ...

If your surgeon were to offer you a revision to reduce the size of the pouch further, would you do it? Would you put yourself through another surgery?

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The more I think about this, the more simple it gets.

Those of us who don't feel restriction have pouches that are just too big to make any (or very little) difference.

The pouch is guess work for the surgeon, unlike with the sleeve where they use a bougie and sew around it to create a fairly uniformed sleeve, depending on the size of the bougie used.

There are several articles out there that say the size of the new stomach is a major factor in the success or failure of bypass surgery.

Given this, and the fact that the first 6 months are the most important in weight loss surgery and the fact that the pouch will stretch over time (according to veterans on this site), I have a question ...

If your surgeon were to offer you a revision to reduce the size of the pouch further, would you do it? Would you put yourself through another surgery?

The sleeve can be revised to a gastric bypass apparently and subject to some more test that's what has been offered (subject to insurance approval).

There is a band they can apply to the sleeve but it's another restrictive operation and as I have severe gastritis I can really have that. As for reducing the size of the actual sleeve, I most definitely be up for that too. But again it's restrictive so I might not get that.

So Yes, I would put myself through it again if I get the all clear health wise. I do have some tests to rule out some other conditions I might have.

So, how about you? What are your plans? Are you still losing weight? Regardless of the size of the pouch, I wonder about the mal absorptive side of your procedure.

Xxx

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I just read this article and posted on Bougie Size thread but I think it might be useful information here too.

http://www.bariatricnews.net/?q=news/1197/sleeve-gastrectomy-best-practices-published

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Consensus paper created to avoid problems often experienced in the learning curve

Based on experience from almost 13,000 operations in 24 centres

90% agree: LSG is a valid procedure both stand-alone and for successful, but complicated, gastric bands

Recommendations include using a bougie above 32F to size sleeve, and to completely mobilise the fundus, to avoid complications.

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    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
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